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Fill out application below

Student Section
Student's Name *
Student's Name
Gender *
Parent / Guardian Name *
Parent / Guardian Name
Parent / Guardian Phone Number *
Parent / Guardian Phone Number
We will do our best to make these possible, but they are not guaranteed.
I will follow the rules of conduct and directions given to me by any of the adult leaders of this event. I understand that if I choose not to follow the rules of conduct, and/or directions given to me by any leader of this event, I will be sent home without a refund. If I bring or participate in any illegal activity (drugs/ alcohol) I understand that the police will be called first, then my parents will be notified. *
You must have a medical release form on file with Authentic Youth. You can find it at authenticyouth.com

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